DR. RICHARD I POLISNER (NPI# 1144352386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144352386 |
| Entity Type | Individual |
| Full Name | DR. RICHARD I POLISNER |
| Credential | D.P.M. |
| Practice Address |
4621 Emerson St Jacksonville FL 32207-4920 |
| Mailing Address |
335 Roscoe Blvd N Ponte Vedra Beach FL 32082-2526 |
| Practice Telephone | 9049940990 |
| Practice Fax Number | 9042121373 |
| Mailing Telephone | 9042739384 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1333 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
4621 EMERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497974059 | Winthrop Crusan Davis | Physical Medicine & Rehabilitation | 4621 Emerson St, Jacksonville, FL 32207-4920 | 2007-04-24 |
| 1831316264 | Courtney Nicole Bolick | Nurse Practitioner | 4621 Emerson St, Jacksonville, FL 32207-4920 | 2007-04-19 |
| 1194942748 | Gary R. Burgess | Physician Assistant | 4621 Emerson St, Jacksonville, FL 32207-4920 | 2007-04-18 |
| 1154547867 | Chad Rietveld | Chiropractor | 4621 Emerson St, Jacksonville, FL 32207-4920 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751692 | Florida Foot and Ankle,inc | Podiatrist | 13241 Bartram Park Blvd Unit 1805, Jacksonville, FL 32258-5227 | 2017-07-06 |
| 1295264224 | Podiatrist On Call, LLC | Podiatrist | 2720 Park St Ste 210, Jacksonville, FL 32205-7645 | 2017-06-04 |
| 1992190524 | Richard C Harris IIi | Podiatrist | 655 W 8th St # C126, Jacksonville, FL 32209 | 2015-03-31 |
| 1497167779 | Jessica Isabel Popelka | Podiatrist | 13241 Bartram Park Blvd Unit 1809, Jacksonville, FL 32258-5227 | 2014-05-21 |
| 1417215609 | Samuel D Kulick Dpm | Podiatrist | 9397 San Jose Blvd Ste 1, Jacksonville, FL 32257-5587 | 2012-04-25 |
| 1699053819 | Troy A Harris | Podiatrist | 1560 Lancaster Ter Apt 206, Jacksonville, FL 32204-4116 | 2011-07-22 |
| 1679701429 | Lindsay Mae Chandler | Podiatrist | 655 W 8th St # C-126, Jacksonville, FL 32209-6511 | 2009-06-30 |
| 1659557239 | Foot Clinic-dr. S.f. Wernow | Podiatrist | 9397-1 San Jose Blvd, Jacksonville, FL 32257-5587 | 2008-01-14 |
| 1669692844 | Sheldon F Wernow | Podiatrist | 9397 San Jose Boulevard, Suite 1, Jacksonville, FL 32257-5587 | 2007-04-27 |
| 1235276189 | Jaynell Smith-cameron | Podiatrist | 2105 Park St, Ste B, Jacksonville, FL 32204-3871 | 2007-01-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on DR. RICHARD I POLISNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.